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Organization
PRIMEWELL SOLUTIONS
Active
Organization
PRIMEWELL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DIAGO APRN (CEO)
(725) 910-3725
Entity
Organization
Contact information
Practice address
415 S DECATUR BLVD, LAS VEGAS, NV 89107-2812
(702) 659-8841
Mailing address
6385 BLACK SWAN LN, LAS VEGAS, NV 89118-1998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/28/2024
Last updated
04/03/2024
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